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© Dr. Rajneesh Kumar Sharma MD (Homoeopathy) Dr. (Km) Ruchi Rajput BHMS Homoeo Cure Research Centre P. Ltd. NH 74- Moradabad Road Kashipur (UTTARANCHAL) - INDIA Ph- 09897618594 E. mail- email@example.com
Degenerative spine disease (Syphilis/ Psora/ Sycosis) is a major cause of chronic disability in the adults. It is a normal part of aging. Neck and back pain are one of its most common outcomes.
Skiagram showing Degenerative spine disease
Normal and degenerated IVD
Origin of Pains
Pain can originate from bone, joints, ligaments, muscles, nerves and intervertebral disks, as well as other paravertebral tissues.
a- INTERVERTEBRAL DISK (IVD) DISEASE
Anatomy of IVD
Intervertebral disk consists of the nucleus pulposus surrounded by the anulus fibrosus. Both the anulus and the nucleus are composed of collagen and proteoglycans. The nucleus contains relatively more proteoglycans to give it a looser gelatinous texture. The anulus has more collagen, and the collagen becomes progressively more compact and tougher at the periphery. The outer anulus is attached to the adjacent vertebral bodies at the site of the fused epiphyseal ring.
Normal and degenerated disc
Function of IVD
Together with the cartilaginous end plates of the adjacent vertebral bodies, the intervertebral disk forms a disk complex that gives structural integrity to the interspace and cushions the mechanical forces applied to the spine.
With more advanced degeneration (Syphilis). The disk also loses its waterbinding capacity and the water content decreases down to 70%. This degree of disk degeneration is considered a normal part of aging. Also. There is an increase in the ratio of keratan sulfate to chondroitin sulfate. The vertebral end plates also become thinner and more hyalinized.Effects of Aging on IVD With aging. Types of Disc Degeneration Desiccation . fissures develop in the cartilaginous end plates. Advanced degeneration (Syphilis) can lead to gas formation or calcification within the disk (Psora/ Sycosis). Calcification is not uncommon in chronic degenerative disk disease. Tears that extend through the outer anulus induce ingrowth of granulation tissue and accelerate the degenerative process (Sycosis/ Psora/ Syphilis).loss of disk water (Psora) Disk bulge . Development of anular tears weakens the anulus (Psora) and allows nucleus to protrude into the defect.circumferential enlargement of the disk contour in a symmetric fashion (Psora) Protrusion . b.Disk Degeneration One of the earliest signs of disk degeneration is loss of water content or desiccation (Psora/ Syphilis). certain biochemical and structural changes occur in the intervertebral disks. leaving no distinction between the nucleus and anulus fibrosus.disk protrusion that extends more than 3 mm beyond the vertebral margin (Psora/ Syphilis/ Sycosis) . and regenerating chondrocytes and granulation tissue form in the area (Sycosis/ Psora/ Syphilis). most noticeable in the nucleus pulposus.a bulging disk that is eccentric to one side but < 3 mm beyond vertebral margin (Psora/ Sycosis) Herniation . and the proteoglycans lose their close association with the disk collagen. dense disorganized fibrous tissue replaces the normal fibrocartilaginous structure of the nucleus pulposus (Sycosis).
epidural fragment of disk no longer attached to the parent disk (Psora/ Sycosis) Effects of Disk Degeneration As a consequence of intervertebral disk degeneration. . A bulging disk encroaches on the ventral spinal canal and inferior portions of the neuroforamina but does not displace or impinge the nerve roots (Psora/ Sycosis). symmetric bulging of the disk beyond the margins of the vertebral body (Psora/ Syphilis). Types of Anular Tears There are three types of anular tears in degenerated disks.Extruded disk . resulting in rounded.extension of nucleus pulposus through the anulus into the epidural space (Sycosis/ Syphilis) Free fragment . Anular Tears An anular disc tear occurs when the substance of the anulus fibrosus "rips" or "tears" and allows that highly pressurized and potentially "evil" nucleus pulposus to escape outward toward the periphery of the disc (Syphilis/ Sycosis). normal axial loading on the spine stretches and lengthens the anular fibers.
an L4-L5 herniated disk impinges on the L5 . Fate of Anular tears Complete disruption of the anulus exposes the nuclear material to the epidural tissues (Syphilis). c. Vascular granulation tissue grows into the fissures (Sycosis) and induces an oedematous reaction and vascular congestion in the adjacent bone marrow (Psora). Fissures develop in the cartilaginous end plates in show with disk degeneration (Syphilis). Type II (Radial tears) – In these tears the longitudinal fibers are disrupted through all layers of the anulus.Type I (Concentric tears) . Type III (Transverse tears) – These result from rupture of Sharpey's fibers near their attachments with the ring apophysis. Types of Disc Herniation Most disk herniations occur in a posterolateral direction into the spinal canal because the tough posterior longitudinal ligament is thicker and tougher in the middle and resists posterior extension near the midline. Defects in the anulus with disk extending posteriorly are indicative of protrusion/herniation. Vascular granulation tissue forms and grows into the disk through the annular tear (Sycosis). A herniated disk usually impinges on the nerve root as it courses inferiorly toward the foramen at the next lower level.Disk Protrusion/Herniation Herniation of the nucleus pulposus takes place at the site of a radial tear of the anulus (Sycosis). from the surface of the anulus to the nucleus. For example. Transverse tears are located at the periphery of the anulus adjacent to the vertebral margins. Degeneration of the intervertebral disk (Syphilis) has secondary effects on the adjacent vertebral end plates and bone marrow. inducing a focal inflammatory reaction (Psora).These are caused by rupture of the short transverse fibers connecting the lamellae of the anulus. Radial tears tend to be more irregular and obliquely oriented.
Degenerative joint disease itself. It is important to distinguish spondylosis from disk disease.SPONDYLOSIS Spondylosis can take the form of marginal end plate osteophytes (Sycosis). can cause pain. or hand. or the symptoms can be derived from the osteophytes compressing neural structures (Psora/ Sycosis/ Syphilis). Herniated disks can be midline or lateral. it becomes a free fragment or sequestration (Psora/ Sycosis). . a disk fragment may rupture through the thecal sac into the intradural compartment. Free Fragments When an extruded disk loses its attachment to the parent disk. sometimes it can be difficult to differentiate whether or not a pedicle of attachment remains. Rarely. DEGENERATIVE DISEASE OF THORACIC SPINE The rib cage. and consequently. Free fragments can migrate some distance cephalad or rostral to the disk space. Fragments of nucleus pulposus within the epidural space induce a focal inflammatory reaction that can secondarily irritate the adjacent nerve root (Psora). the entire disk fragment may be resorbed (Psora/ Syphilis). If the disk extends laterally to compress nerve roots (Psora). A central disk herniation causes a myelopathy due to cord compression. enlarged uncinate processes. or facet arthrosis (Sycosis/ Syphilis). DEGENERATIVE DISEASE OF CERVICAL SPINE Cervical disk disease occurs most commonly at the levels of C5-6 and C6-7. d. The vascular scar tissue is a part of the body's repair mechanism to resorb and remove the offending disk material (Psora/ Sycosis). the pain may radiate to the shoulder. The most common level is T11-T12. where the spine is relatively less rigid. If the disk fragment is near an interspace. Over time. Annular tears involving this complex may be a source of diskogenic pain due to exposure of the nerve endings to the acid metabolites of the protruding nucleus pulposus. The depth of penetration of the scar depends on how long the disk fragment has been in the epidural space. along with associated inflammatory reaction. and coronal orientation of the facets joints all contribute to restricted mobility of the thoracic spine. The L4 root is likely unaffected unless there is lateral and cephalad migrations of a free fragment into the neural foramen. Effect on Nerve Roots The most direct effect on the nerve root is from compression by the herniated disk.root. The anuloligamentous complex is richly innervated by the recurrent meningeal nerve. a lower risk of disk herniation. SIGNIFICANCE AND NATURAL HISTORY Anular tears and focal disk protrusions are frequently found in asymptomatic populations. arm. but the disk need not compress the nerve root directly to cause radicular pain. small intervertebral disks. along with neck pain and stiffness.
A. The lumbar neural foramen has the shape of an inverted teardrop. Degeneration of the facet joint can cause a facet arthrosis syndrome. small osteophytes project first into the inferior aspect of the foramen and are unlikely to compress the nerve root until they get quite large. accelerating the degenerative changes and placing stress upon the posterior supporting ligaments as well (Psora/ Sycosis/ Syphilis). exaggerated motion occurs at these joints. with the loss of structural strength at the disk level. osteophytes develop at these joints and project into the lateral spinal canal and foramina (Sycosis). UNCO-VERTEBRAL AND FACET JOINT ARTHROSIS Some degree of spondylosis is invariably associated with degenerative disk disease.Facet Joint arthrosis . Fortunately. The unco-vertebral joints (uncinate processes) are unique to the cervical spine. With degeneration (Syphilis). Facet arthrosis syndrome Not all back pain or sciatica is due to intervertebral disk disease.VERTEBRAL BODY OSTEOPHYTES Marginal osteophytes form around the periphery of the vertebral body end plates of the lumbar spine (Sycosis). Posterior and posterolateral osteophytes are more likely to cause problems. leading to degenerative joint disease (Psora/ Syphilis). Moreover. with the nerve root positioned in the superior aspect of the foramen. consisting of back pain aggravated by rest and relieved by repeated gentle motion.Small Arrows. The larger ones generally project anteriorly or directly lateral and do not compress neural structures (Sycosis/ Psora).Normal Facet Joints B. Symptoms are caused by impingement of nerve roots as they exit the foramina (Psora). Decrease in height of the intervertebral disk places more stress on the facet joints and unco-vertebral joints.
They consist of a fibrous wall. along with osteophyte formation along the posterior lateral margins of the vertebral body. can encroach upon the lateral recesses of the spinal canal and the neural foramina. Compression of the existing nerve roots results in a radicular pain syndrome. Synovial cysts can compress the dorsal nerve roots and cause radicular symptoms (Psora). MRI Scan of Lumbar Spine showing Synovial Cyst (Red Arrow at L4-5 Level) . generally of fairly severe degree. They are found most frequently at L4-5 which is the more mobile segment of the lumbar spine. often with a distinct synovial lining.Lateral recess syndrome Facet joint hypertrophy. and a cystic centre that may or may not communicate with the facet joint. called the lateral recess syndrome. Lateral recess Syndrome SYNOVIAL CYSTS Juxta articular synovial cysts (Psora/ Sycosis) are associated with facet arthropathy.
SPINAL STENOSIS Spinal stenosis is the constriction of the canals and various foramina of the spine. the stenosis can compress neural structures within the spine and cause neurological symptoms. If adequately severe. Spondylosis and spinal stenosis are commonly associated with intervertebral disk disease. particularly in patients over 50.e. such as achondroplasia (Psora/ Syphilis). Morquio's mucopolysaccharidosis (Psora/ Sycosis). hypochondroplasia (Psora). and Down's syndrome (Psora/ Sycosis). . or the neuroforamina. the lateral recesses. and they are main causes of neck and back pain and radiculopathy. Spinal stenosis can involve the spinal canal. Causes of Spinal Stenosis 1Congenitally short pedicles (Psora) 2Acquired as a result of combined facet hypertrophy (Psora/ Sycosis) 3Degenerated bulging disk (Syphilis) 4Hypertrophy of the ligamentum flavum (Psora/ Sycosis) 5Spondylolisthesis 6Trauma 7Surgical fusion Congenital spinal stenosis can be idiopathic or associated with a developmental disorder.
but a stress fracture from repeated trauma to the spine may be the cause. . The symptoms are worse with standing or walking and relieved when the patient lies down. The etiology is uncertain. relatively mild degenerative changes (Syphilis) are sufficient to cause spinal stenosis. In patients with a congenitally borderline or narrow canal. The syndrome of neurogenic or spinal claudication includes bilateral lower extremity pain. spondylosis. and weakness that is poorly localized and usually associated with low back pain (Psora/ Syphilis). The acquired type is a disease of adult men with moderate to severe degenerative spine disease (Syphilis).STENOSIS OF LUMBAR SPINE Congenital spinal stenosis is often asymptomatic until middle age. numbness. It 93-95% occurs at L5.SPONDYLOLISTHESIS Spondylolysis (Syphilis) refers to a cleft or break in the pars interarticularis of the vertebra. a spinal stenosis develops. The spinal cord is more susceptible to traumatic injury in patients with spinal stenosis. when secondary degenerative changes develop. and ligamentum flavum hypertrophy (Psora/ Sycosis) progress to constrict the spinal canal and cord. f. and most are bilateral. STENOSIS OF CERVICAL SPINE When bulging disks.
associated with spondylolysis (Psora/ Syphilis)- In this type. . pedicles.25% Grade 2 = 26 .100% Types of Spondylolisthesis There are two types of spondylolisthesis. transverse processes.50% Grade 3 = 51 . the spinal canal elongates in its anteroposterior dimension.75% Grade 4 = 76 . Grade 1 = 1 . the pars defect divides the vertebra into an anterior part (vertebral body. and spinous process). leaving the posterior part behind. or of the 4th lumbar over the 5th. usually of the 5th lumbar over the body of the sacrum. and superior articular facet) and a posterior part (inferior facet. The anterior part slips forward. As a result. so that spinal canal stenosis is uncommon with isthmic spondylolisthesis.Spondylolisthesis refers to forward displacement of one vertebra over another. 1Isthmic (open-arch type). laminae. Grading of Spondylolisthesis It is graded according to how far the vertebral body moves forward on the one below.
A degenerative spondylolisthesis narrows the spinal canal. and symptoms of spinal stenosis are common. . Hypertrophic facet arthrosis is a frequent cause of foraminal narrowing.2- Degenerative (closed-arch type) (Syphilis)- Subluxation at the facet joints allows forward or posterior movement of one vertebra over another.
on 2 BACK .Cervical region 16 BACK .INJURIES of the spine .Cervical region 8 BACK .Cervical region .spine 29 BACK .DEGENERATION.cervical region .PAIN .sore 7 BACK .CURVATURE of spine .sore.CURVATURE of spine .cervical region 21 BACK .PAIN .Cervical region . necrosis of spine .DEGENERATION . bruised. complaints of .PAIN . 3/3 1 1 1 phys.PAIN .cervical region .pressing .spine 28 BACK .Cervical region 5 BACK .PAIN .cervical region .PULSATION .Spinal cord .PAIN .INJURIES of the spine . beaten .PAIN .VOMITING .aching . in spine) .spine . beaten .general .PAIN .spine 27 BACK . from 18 BACK .Cervical region .PAIN .spinal cord 23 BACK .cervical region .spine and cervical region.spine and cervical region.degeneration 4 NERVOUS SYSTEM . 3/3 1 1 1 bar-m.spine 13 BACK .Cervical region 17 STOMACH .accompanied by .spine 22 BACK . 3/7 3 2 2 alum.cervical region .cervical region .spine 15 BACK .Spine.CONCUSSION of spine .VOMITING . electric like along the spine .Cervical region .sore.cervical region .CARIES.spine .cervical region .Cervical region .Cervical 11 BACK .INFLAMMATION .cervical region 19 BACK .spine.Spinal cord 2 BACK .CURVATURE of spine .burning .cervical region 20 BACK .HOMOEOPATHY AND DEGENERATIVE SPINE AILMENTS General Analysis of Degenerative Spine Disease Rubrics 1BACK .SPINAL CORD.aching .cervical region .cervical region .Cervical region 4 BACK .spine 25 BACK .SHOCKS. spinal cord 3 BACK .Cervical region 12 BACK .lancinating .PAIN .Spinal cord . vertebrae 24 BACK .STIFFNESS .WEAKNESS (tired feeling. spinal irritation .general .PAIN .Cervical region 3 BACK .PAIN .spine 26 BACK .Spine 6 BACK .CONCUSSION of spine . carbn-s.Degeneration Repertorization pic-ac.INFLAMMATION . 3/3 1 1 1 1 2 3 4 General Analysis of Cervical Spine Ailments Rubrics 1STOMACH .Spine .PAIN . 3/3 1 1 1 aur.Spine.tearing .spine 30 BACK . complaints of 9 BACK .pressure. naja 3/3 3/3 3/3 1 1 1 1 1 1 1 1 1 ox-ac.pressure on .INFLAMMATION . bruised.Cervical region 10 BACK .Cervical region 14 BACK . 4/5 1 1 1 2 plb-i. 3/3 1 1 1 arg-n.Spine .tearing . from .
PAIN .Headache .sore.CURVATURE of spine .PAIN . 14/21 1 2 2 1 1 1 3 lach.cervical region 32 BACK .cervical 42 BACK . 8/19 1 3 3 2 1 4 cocc.cervical region 44 BACK . from 36 BACK .last cervical vertebra to fifth dorsal vertebra 33 BACK . 11/23 2 2 2 2 2 1 3 phos.VOMITING .sore.aching .Vomiting.cervical region .PAIN .spine 45 BACK .Cervical region 48 HEAD .INJURIES of the spine .cervical region .cervical region . 10/13 1 1 1 3 1 1 par.STIFFNESS . with.spine .spine. cervical spine Repertorization cimic. spinal meningitis 47 BACK .spine 43 BACK . 8/16 2 2 1 3 sulph.SENSITIVE spine .STIFFNESS . 8/18 2 2 3 1 3 gels.left .irritability.burning .Location . bruised.cervical 37 BACK .spine and cervical region.Cervical 38 BACK . with.TENSION .General . beaten .cervical region . bruised.spine .Pressure on spine and cervical region 50 Neck . retching .cervical region .PAIN .left . beaten .Cervical region .Spinal and cervical 49 STOMACH .TENSION .irritability. tired feeling in spine .CARIES.Cervical region .31 BACK . and 46 BACK . and 34 BACK . 7/14 2 2 2 1 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 . spinal irritation .cervical region .CURVATURE.spine.pressing .PAIN .cervical region .spine 41 BACK . spinal meningitis 35 STOMACH .tearing . 8/16 2 2 2 1 3 nat-s.Cervical region 39 BACK . 7/16 3 3 1 1 4 arn. 7/15 2 2 4 1 3 aesc.Cause .spine.spine 40 BACK . necrosis of .WEAKNESS.pressure on .PAIN .SENSITIVE spine .
pain .thoracic 7 Back . pain .TEARING. spine. curvature .thoracic Repertorization sil. back. 4/4 agar.SPINAL.SHOCKS. thoracic. 5/10 1 calc.CURVATURE.thoracic region 17 Back .cervical region .ACHING.thoracic 14 Back . vertebrae . thoracic.WEAK.COLDNESS. beaten .thoracic 16 Back .articulation to thoracal first 2 BACK . bruised.sore.PULSATING.SHARP.spine 9 Back . 5/9 1 thuj.spine . chill .spine 5 Back .spine . along .spine 12 Back .thoracic 11 Back .CUTTING.29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 1 1 2 2 1 2 1 - 3 2 2 2 - 2 1 1 1 3 2 - 2 3 2 - 2 2 2 - 3 2 2 1 - 3 1 - 2 1 - 2 2 - General Analysis of Thoracic Spine Ailments Rubrics 1BACK . 4/4 1 plb.spine 6 Back .spine.PAIN.BORING.articulation to thoracal first 3 Back .spine . pain .spine 4 Back .thoracic . pain .thoracic . 7/15 phos. pain . 4/5 ail. 4/8 zinc. middle of 18 Children .thoracic 13 Back . of spine . pain .PAIN .thoracic .thoracic .spine 15 Back .PRESSING.cervical region . electric like.spine. pain. 5/6 lyc. spine . 3/7 bell. spine. pain.PAIN .SORE. of spine . thoracic 10 Back .seventh .BURNING. middle of .CURVATURE.spine . sensation . tired feeling in . 3/6 - 1 2 3 .thoracic. middle of .thoracic 8 Back .thoracic .
CONSTRICTION or band .lumbar region .together with a string. and spine were tied together with a string 18 Neck and back .Lumbar region 15 BACK .Spine.extending .CARIES of spine .burning . up the 6 BACK . up .Spine .stitching.extending to .Lumbar region .spine 27 BACK .burning . lumbago .Lumbar region 17 Neck and back .Lumbar vertebrae 2 BACK .along spine in zigzags to scapular region 16 BACK .Lumbar region . chill .lordosis.PAIN .lumbar region . spinal irritation .extending .lumbar region .lumbar region.lumbar region remains sensitive to jar of walking 21 BACK . bruised. lumbago .PAIN .broken.extending to .PAIN .spine 28 BACK .PAIN .lumbar region.Dropped out of lumbar region.PAIN . down 8 BACK .String .4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 2 2 3 2 2 2 2 1 2 3 3 - 2 2 2 2 1 1 2 1 1 2 2 2 2 1 1 2 1 - 1 1 1 - 1 1 1 1 3 2 2 - 3 1 2 - General Analysis of Lumbar Spine Ailments Rubrics 1BACK . necrosis of spine .spine to between scapulae.PAIN .Spine . in spine) .lumbar region . lumbar vertebrae had dropped out and spine were 20 BACK .Lumbar canal 3 BACK .PAIN .lumbar vertebrae had dropped out and spine were tied together with a 19 Neck and back .extending . .Spine 7 BACK .spine.PAIN . along 23 BACK .Lumbar region remains sensitive to jar of walking 11 BACK .PAIN .CARIES.lumbar region 22 BACK .spine 12 BACK .PAIN . lumbar region 25 BACK . as if .Spine to between scapulae. vertebrae had.Lumbar region . shooting .CURVATURE of spine .INJURIES of the spine .lumbar vertebrae 10 BACK .Lumbar region .sore.COLDNESS.spine 26 BACK .WEAKNESS (tired feeling.PAIN .PAIN .CURVATURE of spine .Lumbar region . beaten .Lumbar region 4 BACK .lumbar region 24 BACK .PAIN .extending to .digging .Spine .Lumbar region to region of bladder.extending to .PAIN . along 5 BACK .spine 14 BACK .Lumbar region . .aching .general .up the spine to between scapulae 13 BACK .general .Lumbar region 9 BACK .extending to .CARIES of spine.Lumbar region .CURVATURE of spine .PAIN .Tied .spine 29 BACK .INJURIES of the spine .Spine in zigzags to scapular region.
up the BACK .sore.spine .PRESSURE .tearing .spine BACK .tearing .spine BACK .stitching.PAIN .PAIN . in zigzags BACK .labor-like .lumbar region .LOWER LIMBS .spine BACK . back.lumbar region . shooting . along. fourth vertebra BACK .spine. in zigzags to scapular region BACK .drawing .spine BACK .PAIN .spine.spine BACK .sciatic .spine.HEAT.extending .fist.burning .PAIN .spine BACK . pain. vertebrae Back .PAIN .ULCERS . extending to hypogastrium BACK . beaten .sore. sensation.spine BACK . along.Lumbar region remains sensitive to jar of walking BACK .Lumbar region EXTREMITY PAIN .jerking .lumbar region. as from a.PAIN .BURNING. bruised.aching . lumbar Back .general .fist.beginning in .spine.PAIN .spine.drawing .lumbar region .PAIN .lumbar region. as from hot .lumbar region .stitching.cutting .burning . shooting .iron. lower part BACK .PAIN .gnawing . to . fifth vertebra BACK .PAIN .lumbar region . lumbosacral region.extending . pain .dull .lumbar region .lumbar region . lumbar or lumbosacral region BACK .PAIN .extending.spine.sciatica .SWELLING .PAIN .PAIN .extending. electric like .INJURIES.PAIN .General .burning .spine .along spine in zig-zags to scapular region Back .lumbar spine.SHARP.lumbar.spine BACK .SHOCKS.lumbar region . necrosis of . lumbago . in zigzags BACK . spinal irritation .upwards along spine to scapular region. sitting bent BACK . pain . lumbar.lower limbs .CARIES. lumbago . in zigzags to scapular region BACK .SENSITIVE spine .SHOCKS.lumbar region .extending .lumbar region BACK .spine BACK .Lumbar region .stitching.spine to between Scapulae.lumbar .pressing .lumbar region . to .beginning in .spine BACK .PAIN . in spine Back . especially in lumbar region with great stiffness Back .SHOCKS.spine BACK .lumbar region. electric like . tired feeling in spine . in .lumbar region .extending .lumbar region . of .pinching .lumbar region .lumbar region .PAIN.stitching.extending to .spine.30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 the BACK .flushes.lumbar region remains sensitive to jar of walking Back .General .up the spine to between scapula Back .lumbar region . along .spine . injuries.lumbar region .lumbar region BACK .INJURIES of the spine .PAIN .lumbar region . to .CURVATURE of spine .Lumbar region BACK .upwards along spine to scapular region.spine. spine EXTREMITIES .lumbar region . electric like.spine. back .extending . beaten .DECAY.PAIN .PAIN .spine.PAIN .nerves .spine.WEAKNESS.spine BACK . shooting .PAIN . spine of lumbar or lumbosacral region BACK .lumbar region .PAIN . especially in lumbar region with great stiffness BACK . shooting .lumbar region . as from a.PAIN .lumbar region .lumbar region .spine BACK .lumbar BACK .vertebrae . bruised. through BACK . region .lumbar .spine BACK .lumbar. lumbar .spine. spine.PAIN .PAIN .pressing . upper vertebrae BACK .PAIN .spine.pressing .PAIN .
lumbar Repertorization thuj. pic-ac. 15/27 13/22 13/16 2 1 1 1 2 1 2 1 2 1 2 2 2 3 1 1 1 1 1 3 1 1 1 bell. pain. tired feeling in .WEAK. 13/16 1 1 1 1 2 1 1 ars. 23/39 1 1 3 2 1 1 3 1 3 1 1 4 1 phos. 10/16 1 1 3 1 1 lil-t. spine. 17/29 2 2 2 2 1 3 1 3 1 1 sil. 18/27 1 1 2 1 2 2 1 1 3 1 chel.spine 75 Back . lumbar . graph. back. 10/16 10/16 2 1 2 1 1 3 1 1 1 3 1 1 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 .SORE. agar.74 Back .
spine. bruised. in spine) .spine. beaten .PAIN .extending to . extending to sacrum 13 BACK .WEAKNESS. tired feeling in spine . along 17 BACK .PAIN .48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 2 1 1 3 1 1 2 1 3 1 1 1 2 1 2 1 2 2 2 2 1 1 2 2 1 1 4 2 1 2 1 2 2 1 2 2 2 2 1 1 2 1 2 1 1 2 1 1 2 1 1 3 1 3 2 1 2 1 1 3 1 3 General Analysis of Sacral Spine Ailments Rubrics 1BACK .lancinating .sensitivity of spine.PAIN .spine 14 BACK .aching .Sacrum .spine 11 BACK .Sacral region 20 BACK .sacral region 19 BACK .PAIN . radiates from sacrum to right sciatic nerve 16 BACK . upper part .PAIN .Sacrum 9 BACK . in 8 BACK .extending .Sacrum . spinal irritation . beaten .sore.lancinating .PAIN .lancinating .Spine 5 BACK .sacrum .PAIN .spine 12 BACK . accompanied by.Spine.Spine.lower limbs .aching .PAIN .PAIN . tired feeling in spine .TENSION .sacral region 15 EXTREMITIES .Upper part .PAIN .nerves . bruised.sore.Spine .WEAKNESS (tired feeling.sacral region .extending to sacrum 6 BACK .PAIN .sacrum.Sacrum 3 BACK .sacral region .sore.SENSITIVE spine .SHOCKS.Sacral region .Sacral region 2 BACK .sciatic .Sacrum. electric like along the spine .WEAKNESS. beaten . to 10 BACK .SENSITIVE .spine .PAIN .PAIN .extending to sacrum 18 BACK .Sacral region 7 BACK . spinal irritation .spine .Spine .sacrum . bruised.spine.Spine 4 BACK .
spine 25 Pelvis . lumbar .sensitivity of spine. 6/6 1 1 1 1 1 1 ang.SORE. accompanied by. Pain Management > Selected Pain Syndromes > Low Back Pain & Related Syndromes . 6/12 2 2 1 3 2 2 colch.sacrum.SORE. pain. Arthritis & Back Pain > Emergency Treatment of Specific Conditions Causing Back Pain Degenerative Disk Disease Clinical Anesthesiology > Chapter 18. 9/15 2 1 2 1 3 1 2 1 2 sep. 6/6 1 1 1 1 1 1 gins.spine . pelvis . 8/14 2 2 1 1 3 2 1 2 berb. 6/6 1 1 1 1 1 1 kali-bi.LOWER LIMBS . Neurosurgery > Intervertebral Disk Disease Acute Lumbosacral Strain & Chronic Degenerative Disk Disease CURRENT Diagnosis & Treatment: Emergency Medicine > Chapter 19.THRUSTS. spine Repertorization lob. 6/6 6/6 1 1 1 1 1 1 1 1 1 1 1 1 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 REFERENCES Cervical Spine CURRENT Diagnosis & Treatment: Surgery.21 EXTREMITY PAIN .lumbo-sacral region 24 Pelvis . 8/16 2 2 2 1 3 2 2 2 sil. 13e > Chapter 36. 6/12 2 2 1 3 2 2 am-c. sacrum .Hyperesthesia .Sacral 23 Back .thrusts.Spinal cord . . radiates from sacrum to right sciatic nerve 22 NERVOUS SYSTEM . pain.sciatica . nat-ar.
Orthopedic Surgery > Orthopedic Spine > Pain Syndromes of the Back Osteoarthritis. Neurosurgery > Intervertebral Disk Disease Lumbar Disk Syndrome CURRENT Diagnosis & Treatment: Surgery. Degenerative Disk Disease. 13e > Chapter 36. 13e > Chapter 40. Complementary and Alternative Medicine > Use of CAM Modalities for Disorders of the Elderly Patient Lumbar Disk Disease Harrison's Online > Chapter 15. 13e > Chapter 40. 6e > Chapter 25. Orthopedic Surgery > Orthopedic Spine > Pain Syndromes of the Back Radar 10 Encyclopedia Homoeopathica .Mechanical Back Pain CURRENT Diagnosis & Treatment: Surgery. Back and Neck Pain > Causes of Back Pain Lumbar Spine CURRENT Diagnosis & Treatment: Surgery. and Chronic Pain Hazzard's Geriatric Medicine and Gerontology.
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